Provider Demographics
NPI:1417986936
Name:DAVIES, NORMA H (PHD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:H
Last Name:DAVIES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 MUNRAS AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6140
Mailing Address - Country:US
Mailing Address - Phone:831-641-9100
Mailing Address - Fax:831-626-1286
Practice Address - Street 1:1340 MUNRAS AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6140
Practice Address - Country:US
Practice Address - Phone:831-641-9100
Practice Address - Fax:831-626-1286
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPYS4061103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5689818Medicaid
CA19627OtherNATIONAL REGISTER
CA422836OtherVALUE OPTIONS
CA10364789OtherUBH
CA00PL40610Medicare ID - Type Unspecified